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Updated: Feb 3, 2026

In Silico Clinical Trials for Cardiovascular Disease
Published on: May 27, 2022
Muscular Atrophy in Cardiovascular Disease
Isadora Rebolho Sisto1, Melina Hauck2, Rodrigo Della Méa Plentz3,4,5
1Graduate Program in Rehabilitation, Federal University of Health Sciences of Porto Alegre, Porto Alegre, Brazil.
Insights
Cardiovascular diseases (CVD) cause significant musculoskeletal changes, impacting patient quality of life and prognosis. Early prevention and multi-professional treatment are crucial for managing muscle decline in these patients.
Area of Science:
- Cardiology
- Gerontology
- Exercise Physiology
Background:
- Increasing life expectancy leads to a rise in chronic diseases, with cardiovascular diseases (CVD) being highly prevalent.
- CVD patients experience metabolic, hemodynamic, and musculoskeletal alterations, impacting their overall health and prognosis.
- Musculoskeletal changes in CVD patients are variably termed in literature, including muscular atrophy, cardiac cachexia, and sarcopenia, highlighting a need for standardization.
Purpose of the Study:
- To highlight the significant impact of musculoskeletal changes on cardiovascular disease patients.
- To underscore the importance of addressing muscle atrophy and progressive muscle decline in CVD.
- To advocate for a multidisciplinary approach in managing skeletal muscle loss.
Main Methods:
- Literature review to identify and discuss terminology related to musculoskeletal changes in CVD.
- Analysis of the impact of these changes on patient quality of life and prognosis.
- Emphasis on the necessity of integrated therapeutic strategies.
Main Results:
- Musculoskeletal consequences in CVD patients, regardless of terminology, negatively affect quality of life and are linked to poorer outcomes.
- The prevention of muscular atrophy and treatment of progressive muscle decline are vital for patient well-being.
- A multi-professional team approach is essential for effective management.
Conclusions:
- Standardized terminology for musculoskeletal changes in CVD is needed, but their negative impact is clear.
- Interventions aimed at preventing or treating muscle loss are crucial for improving prognosis in cardiovascular disease.
- Integrated therapeutic strategies, including pharmacological management, nutrition, and physical exercise, are recommended for a multidisciplinary team approach.
Abstract:
Currently, the number of chronic diseases has increased due to increasing in life expectancy of population. Among them, cardiovascular diseases (CVD) are the most prevalent and responsible for the high mortality and morbidity rates. Patients with CVD have metabolic, hemodynamic, and musculoskeletal changes. There is a debate regarding the correct term for musculoskeletal changes that affect this group of patients; therefore, we found in literature myopia, muscular atrophy, cardiac cachexia, and sarcopenia. However, although there is no standardization in relation to correct term, these musculoskeletal consequences directly affect the quality of life and are associated with a poor prognosis. In this way, the importance of prevention of muscular atrophy, but also of treatment for those patients with progressive muscle decline, is proven. We also emphasize the importance of a multi-professional team, because therapeutic strategies are needed that are capable of delaying the onset or minimizing the consequences of skeletal muscle loss, from pharmacological management and nutrition to physical exercise.
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